Provider Demographics
NPI:1982953188
Name:SEXTON, REBEKAH S (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:REBEKAH
Middle Name:S
Last Name:SEXTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:204 DARTMOUTH COLLEGE HWY
Mailing Address - Street 2:DARTMOUTH-HITCHCOCK - LYME
Mailing Address - City:LYME
Mailing Address - State:NH
Mailing Address - Zip Code:03768
Mailing Address - Country:US
Mailing Address - Phone:603-650-1070
Mailing Address - Fax:
Practice Address - Street 1:204 DARTMOUTH COLLEGE HWY
Practice Address - Street 2:DARTMOUTH-HITCHCOCK - LYME
Practice Address - City:LYME
Practice Address - State:NH
Practice Address - Zip Code:03768
Practice Address - Country:US
Practice Address - Phone:603-650-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1028363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant